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TIMI Risk Score for ST Elevation Acute MI (STEMI)
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Patient at presentation with ST elevation MI = Chest pain > 30min, symptom onset
<6hrs ago, ST elevation, no contraindication to thrombolysis. Pts received
thrombolytic therapy.
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HISTORY
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Age in Years
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History of Angina
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History of Hypertension
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History of Diabetes
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EXAMINATION
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Systolic Blood Pressure < 100
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Heart Rate > 100
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Killip Class II-IV * (ie clinical
heart failure)
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Weight < 67 kg (< 150 lb)
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PRESENTATION
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Anterior ST Elevation or LBBB
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Time to treatment > 4 hours
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Total Risk Score
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Risk of Death by 30 Days
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Source: The InTIME II
Trial. Morrow DA et al. Circulation
2000;102:2031-7. N=14,114 pts. Patients were assigned to receive either
lanoteplase or alteplase.
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* Killip Classes
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II : Bilateral
crackles in up to 50% of lung fields, isolated S3
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III : Bilateral
crackles in all lung fields, acute Mitral Regurgitation
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IV : Cardiogenic shock - Pulmonary Edema, Systolic BP <90,
poor urine output
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Designed by Dr John Bayliss (1999-2002) v11
West Hertfordshire Cardiology, Hemel Hempstead Hospital, Herts HP2 4AD
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HTML transfer by Dr. John Coyle
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